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. <br /> y <br /> Total Fee: $ Date Received: <br /> Entered By: Permit#: <br /> CITY OF ORONO - BUILDING PERMIT APPLICATION <br /> All information must be submitted in full before plan review will be started. <br /> (plecise pYint crll information) <br /> ------------------------------------------------------------------------------------------------------------------------ <br /> THE APPLICANT IS: (ci��cle one) OWNER OR CONTRACTO <br /> - _......._._.__....� <br /> JOB SITE ADDRESS: �-�` <��C� .:�ir�sL�u� ZIP: <br /> Will this be a Parade of Homes, Remodelers Showcase Home or other Display Home? <br /> ❑ YeS � No If yes, a special eve�zt per•niit is required ivit/7 Police Department and City Cozmcil approval <br /> 60 days prror�to the event. Shuttle bars ser•vice tivill be requir•ed unless applicant denaonstrates <br /> sa ffieient on-site par•Icing is available. Non-permitted eve��ts wrll not be allolvec! <br /> NAME OF OWNER: ���2��c� i����*� PHONE: (home)�S,� �`5�7/- 7YE%7 <br /> (work} <br /> MAILING ADDRESS: 3 5 Y� ���'-�� CITY: ��°' ZIP: <br /> CONTRACTOR: ,���,�c ,� _.._ PHONE: Cs S / � � 7 7Y l <br /> CONTACTPERSON: .�=���� "LVIOBIL AGER: ��,-/� 5��'�(� <br /> MAILING ADDRESS: � r�G;' ,�, ��y �,�-. CITY: � .���?i,� ZIP: -io <br /> STATE LICENSE: # „�`�r�ls�c� �'� EXPIRATION DATE: <br /> ARCHITECT/ENGINEER: PHONE: <br /> MAILING ADDRESS: CITY: ZIP: <br /> NAME: REGISTRATION: # <br /> TYPE OF WORK: New Home Addition Accessorv Structure <br /> Move Home Remodel/Alteration (ie: Siding, Windows) l� <br /> Any earth movement may require MCWD review and permits ! <br /> PROPOSED WORK(describe in dettrin: �`2 v,G¢ �_-2���� <br /> STORIES: _� SQ.FEET OF EACH FLOOR: <br /> NO. OF BEDROOMS: GA.RAGE STALLS: ATTAC�IED DETACHED <br /> , �,��r <br /> ESTIMATED CONSTRUCTION VALUATION(excluding land): $ � q:3�',. � <br /> i <br /> I hereby apply for a building permit and I acknowledge that the information above is complete and accurate; <br /> that the ��rork will be in conformance with the ordinances and codes of the City and with the State Building <br /> Code;that I understand this is not a permit and work is not to start without a permit;and that the work will be <br /> in accordance with the approved plan. <br /> APPLICANT'S SIGNATURE: ��2� � DATE: �`� �—C� G <br /> 31 <br />